Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou, China; Key Laboratory of Musculoskeletal System Degeneration and Regeneration Translational Research of Zhejiang Province, China; Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.
Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou, China; Key Laboratory of Musculoskeletal System Degeneration and Regeneration Translational Research of Zhejiang Province, China.
Mater Sci Eng C Mater Biol Appl. 2019 Aug;101:588-595. doi: 10.1016/j.msec.2019.04.002. Epub 2019 Apr 3.
Articular cartilage lacks self-healing capacity, and there is no effective therapy facilitating cartilage repair. Osteoarthritis (OA) due to cartilage defects represents large and increasing healthcare burdens worldwide. Nowadays, the generation of scaffolds to preserve bioactive factors and the biophysical environment has received increasing attention. Furthermore, improved decellularization technology has provided novel insights into OA treatment. This review provides a comparative account of different cartilage defect therapies. Furthermore, some recent effective decellularization protocols have been discussed. In particular, this review focuses on the decellularization ratio of each protocol. Moreover, these protocols were compared particularly on the basis of immunogenicity and mechanical functionality. Further, various recellularization methods have been enlisted and the reparative capacity of decellularized cartilage scaffolds is evaluated herein. The advantages and limitations of different recellularization processes have been described herein. This provides a basis for the generation of decellularized cartilage scaffolds, thereby potentially promoting the possibility of decellularization as a clinical therapeutic target.
关节软骨缺乏自我修复能力,目前也没有有效的治疗方法能够促进软骨修复。由软骨缺陷引起的骨关节炎(OA)在全球范围内造成了巨大且不断增加的医疗负担。如今,保存生物活性因子和生物物理环境的支架的生成受到了越来越多的关注。此外,改良的脱细胞技术为 OA 的治疗提供了新的思路。本综述比较了不同的软骨缺损治疗方法。此外,还讨论了一些最近有效的脱细胞方案。特别是,本综述重点介绍了每个方案的脱细胞率。此外,还特别根据免疫原性和机械功能对这些方案进行了比较。此外,还列出了各种再细胞化方法,并在此评估了脱细胞软骨支架的修复能力。本文还描述了不同再细胞化过程的优点和局限性。这为脱细胞软骨支架的生成提供了基础,从而有可能将脱细胞化作为一种临床治疗靶点。